Location Based Patient Monitoring

1. A system comprising: a mobile monitor configured to determine a geographic location; and an ambulatory medical device (AMD), communicatively coupled to the mobile monitor, the AMD configured to detect physiologic information from a patient and to upload detected physiologic information from the AMD to a storage location remote from the AMD according to a normal upload schedule, wherein the AMD is configured to receive the determined geographic location from the mobile monitor, and wherein the AMD or the mobile monitor are configured to adjust the normal upload schedule of the AMD to an adjusted upload schedule responsive to the determined geographic location, wherein the normal upload schedule is different than the adjusted upload schedule.

2. The system of claim 1 , wherein, in response to the determined geographic location indicating that the patient is at a medical care facility, the AMD is configured to upload detected physiologic information to the storage location immediately or at first availability, irrespective of the normal upload schedule.

3. The system of claim 1 , wherein the AMD is configured to detect physiologic information from the patient using a first monitoring mode and a second monitoring mode, wherein the AMD is configured to switch between the first monitoring mode and the second monitoring mode according to the determined geographic location, wherein the first monitoring mode includes a first upload schedule and the second monitoring mode includes a second upload schedule different than the first upload schedule, and wherein the first upload schedule is the normal upload schedule, and the second upload schedule is the adjusted normal upload schedule.

4. The system of claim 3 , wherein, in response to the determined geographic location indicating that the patient is at a medical care facility, the mobile monitor is configured to instruct the AMD to switch from the first monitoring mode to the second monitoring mode.

5. The system of claim 4 , wherein the AMD is configured to switch from the first monitoring mode to the second monitoring mode in response to the determined geographic location indicating that the patient has been at a medical care facility for a period longer than a specified amount of time.

6. The system of claim 3 , wherein the second monitoring mode consumes more power than the first monitoring mode.

7. The system of claim 3 , wherein the mobile monitor is configured to receive user confirmation that the patient is seeking medical attention, and wherein the AMD is configured to transition from the first monitoring mode to the second monitoring mode in response to the determined geographic location indicating that the patient is at a medical care facility and the mobile monitor receiving user confirmation that the patient is seeking medical attention.

8. The system of claim 3 , wherein the AMD includes a risk circuit configured to determine a risk of a worsening medical condition using the detected physiologic information, wherein the risk circuit, in the first monitoring mode, is configured to determine the risk using a first weighting of detected physiologic information or a comparison of the detected physiologic information to a first threshold, and wherein the risk circuit, in the second monitoring mode, is configured to determine the risk using a second weighting of detected physiologic information or a comparison of the detected physiologic information to a second threshold, the second threshold different than the first threshold.

9. The system of claim 1 , wherein the mobile monitor includes at least one of a smart phone, a smart watch, a tablet device, or a mobile electronic device configured to receive location information including at least one of global positioning system (GPS), radio frequency identification (RFID), Bluetooth®, Wi-Fi®, near-field communication (NFC), cellular network, or paging network location information, wherein the mobile monitor is separate from the AMD, and wherein the storage location includes a cloud-based remote server separate from the mobile monitor and the AMD.

10. The system of claim 1 , wherein the mobile monitor, in response to the determined geographic location, is configured to prompt a user to instruct the AMD to upload detected physiologic information to the storage location remote from the AMD.

11. A system comprising: an ambulatory medical device (AMD) configured to detect physiologic information from a patient and to upload detected physiologic information from the AMD to a storage location remote from the AMD according to a normal upload schedule, wherein the AMD is configured to receive information corresponding to a geographic location of the patient and to adjust the normal upload schedule of the AMD to an adjusted upload schedule responsive to the received information corresponding to the geographic location of the patient, wherein the normal upload schedule is different than the adjusted upload schedule.

12. The system of claim 11 , wherein, in response to the received information corresponding to the geographic location of the patient indicating that the patient is at a medical care facility, the AMD is configured to upload detected physiologic information to the storage location immediately or at first availability, irrespective of the normal upload schedule.

13. The system of claim 11 , wherein the AMD is configured to transition from a first monitoring mode to a second monitoring mode, and to adjust the normal upload schedule, in response to the received information corresponding to the geographic location of the patient indicating that the patient is at a medical care facility, wherein the first monitoring mode includes a first upload schedule and the second monitoring mode includes a second upload schedule different than the first upload schedule, and wherein the first upload schedule is the normal upload schedule, and the second upload schedule is the adjusted normal upload schedule.

14. The system of claim 13 , wherein the AMD, in the first monitoring mode, is configured to detect or transmit physiologic information from the patient in an ambulatory, pre-hospitalization mode, and wherein the AMD, in the second monitoring mode, is configured to detect or transmit physiologic information from the patient in an in-clinic mode that consumes more power than the ambulatory mode.

15. The system of claim 13 , wherein the AMD is configured to transition from the first monitoring mode to the second monitoring mode in response to the received information corresponding to the geographic location of the patient indicating that the patient has been at the medical care facility longer than a specified amount of time.

16. The system of claim 13 , wherein the AMD, in the first monitoring mode, is configured to detect physiologic information from the patient using a sensor at a first sensitivity or at a first frequency, and wherein the AMD, in the second monitoring mode, is configured to detect physiologic information from the patient using the sensor at a second sensitivity, more sensitive than the first sensitivity, or at a second frequency, higher than the first frequency.

17. The system of claim 13 , wherein the AMD, in the first monitoring mode, is configured to detect physiologic information from the patient using a first set of sensors, and wherein the AMD, in the second monitoring mode, is configured to detect physiologic information from the patient using a second set of sensors, different than the first set of sensors.

18. A method comprising: receiving information corresponding to a geographic location of a patient at an ambulatory medical device (AMD); detecting physiologic information from the patient using the AMD; uploading detected physiologic information from the AMD to a storage location remote from the AMD according to a normal upload schedule; and adjusting, using a mobile monitor or the AMD, the normal upload schedule of the AMD to an adjusted upload schedule responsive to the received information corresponding to the geographic location of the patient, wherein the normal upload schedule is different than the adjusted upload schedule.

19. The method of claim 18 , comprising: in response to the received information corresponding to the geographic location of the patient indicating that the patient is at a medical care facility, uploading, using the AMD, detected physiologic information to the storage location immediately or at first availability, irrespective of the normal upload schedule.

20. The method of claim 18 , wherein detecting physiologic information from the patient using the AMD comprises using a first monitoring mode and a second monitoring mode, and wherein the method comprises: transitioning the AMD from the first monitoring mode to the second monitoring mode, in response to the received information corresponding to the geographic location of the patient indicating that the patient is at a medical care facility, wherein the first monitoring mode includes a first upload schedule and the second monitoring mode includes a second upload schedule different than the first upload schedule, and wherein the first upload schedule is the normal upload schedule, and the second upload schedule is the adjusted normal upload schedule.